Search Results (49)

Background/Objectives: The main objective of the present study is to assess the short-term effects of Forest Bathing (FB) conducted in a Mediterranean forest on individuals with fibromyalgia (FM) and/or chronic fatigue syndrome/myalgia encephalomyelitis (CFS/ME) on perceived pain, fatigue, state anxiety, positive and negative affect, mood states, and state mindfulness. Methods: A total of 44 participants with FM and/or CSF/ME agreed to participate in this study. The FB session consisted of a 3 km silent walk, lasting three hours and guided by a specialized psychologist and a mountain guide to guarantee the safety of the activity. Paired-sample t-tests were used to analyze the pre–post changes in perceived pain, fatigue, state anxiety, positive and negative affect, mood states, and mindfulness. Results: All reported variables but self-reported pain showed statistically significant pre–post variations after the FB session. Particularly, large-to-very-large improvements in positive and negative affect, state anxiety, tension, depression, anger, and vigor were found. Small-to-moderate effect sizes for fatigue, friendliness, and state mindfulness were also reported. Conclusions: This study provides preliminary evidence of the short-term benefits of FB in individuals with FM and/or CFS/ME, especially on state anxiety and negative affect. Full article

Open habitats in forests perform several important functions. In addition to enriching biodiversity, they have an impact on the diversification of the forest landscape, and through complex processes and trophic relationships, they provide greater sustainability in forest communities. It turns out that they are also important not only for the functioning of nature, but also due to their regenerative properties, through which people can improve their well-being and recover their mental balance. The purpose of this study was to determine whether and to what extent mid-forest open dunes and wetlands are able to provide people with feelings of relaxation and mental renewal. The study was conducted in June 2024 in one of the forest complexes located in the suburban zone of Warsaw. The experiment was conducted with the participation of 52 young adult volunteers. The experiment used a pre–posttest method. The subjects’ mood and well-being were determined using four psychological questionnaires: the Positive and Negative Affect Schedule (PANAS), Restorative Outcome Scale (ROS), Subjective Vitality Scale (SVS), and Profile of Mood States (POMSs). The key findings from the research conducted are as follows: compared to the control sample (before entering the forest), exposure to all three variants of greenery had a restorative effect on the experimental participants; the water environment had the most favorable effect compared to the control sample (before entering the forest); and exposure to this environment provided the greatest increase in positive feelings and the greatest decrease in negative feelings. Research has shown that areas important for preserving forest biodiversity are also important for humans because of their high restorative properties. Preserving non-forest enclaves in forests and promoting their regenerative values for humans can be one nature-based solution to improve people’s health and well-being, especially for people living in urban areas. Full article

In the face of the limitations in pharmacological and surgical interventions for neurological conditions such as Parkinson’s and Alzheimer’s disease, patients are increasingly turning to non-pharmacological and alternative therapies to manage their symptoms and improve their quality of life. This shift underscores the urgent need for accessible, effective, and affordable treatments. This literature review examines a range of alternative and personalized therapies, including game therapy, animal-assisted therapy, dance therapy, art therapy, music therapy, aroma therapy, and shinrin-yoku therapy. These modalities have demonstrated promising results in mitigating symptoms and enhancing well-being among individuals grappling with neurological disorders. Moreover, these therapies offer a holistic approach that complements traditional medical interventions, underscoring the importance of integrating diverse treatment modalities. Despite their historical roots in non-clinical settings, their potential in modern clinical practice remains untapped. The findings suggest the necessity for further research, particularly large cohort studies, to validate the efficacy of these personalized therapies and advocate for their widespread adoption. In an era marked by escalating healthcare costs, the exploration of alternative therapies presents a compelling avenue for enhancing patient care while simultaneously addressing economic challenges within the healthcare system. Full article

Recent research underscores the positive effects of nature exposure on health and well-being. Growing evidence also links biodiversity within these environments to enhanced health outcomes, as diverse ecosystems may offer a broader range of multi-sensory stimuli. This experimental field study investigated the effects on psychological and physiological outcomes linked to spending time in a forest compared to an urban environment. Sixty-six healthy participants were randomly assigned to spend 20 min in either a forest environment with alternating tree species richness in the Wienerwald near Vienna, Austria, or an urban environment. Psychological data were collected using validated scales, and saliva cortisol samples were taken before and after the intervention. Findings showed that the forest visit significantly reduced negative emotions, enhanced positive affect, and lowered cortisol levels more effectively than the exposure to the urban environment. However, increased tree diversity within the forest setting did not further amplify these benefits. These results suggest potential mental health and stress reduction benefits of forest exposure in the case of the Wienerwald, supporting the consideration of nature-based interventions in urban public health initiatives. While forest biodiversity appears to have limited additional effects, future research could further investigate its role in nature-based interventions and forest therapy practices. Full article

Background: It has been reported that forest bathing significantly reduced negative emotions and increased the positive feelings in both healthy males and females, as well as increasing blood serotonin in healthy males, indicating the potential for a beneficial effect on depressive status. However, an improvement effect of forest bathing on participants with depression has not been reported so far. Therefore, in order to fill this gap, this study examined the effect of forest bathing on depression in female participants with depression/depressive tendencies. Methods: Thirty-one females aged 40.1 ± 2.4 years with depression/depressive tendencies were recruited after obtaining informed consent. The study employed a randomized crossover design to compare forest bathing with city walking. They participated in day trips to a Japanese cypress forest park and to a city area of Nagano Prefecture as a control in June 2023. On both trips, they walked 2.5 km (for 90 min) in the morning and afternoon, respectively, for a total of 5.0 km per day. Blood samples were taken at 4 pm for the measurements before forest bathing on the first day and after the walking in forest and unban sites on the second and third days, at the same hospital. Concentrations of oxytocin, IGF-1, serotonin and lactic acid in blood were measured. SDS scores were calculated and the POMS test and questionnaires for subjective fatigue symptoms and sleep quality were administered before and after each trip. Temperature, humidity and illuminance were also measured in the forest and urban environments. The Nippon Medical School Central Ethics Committee approved this study. Results: Forest bathing significantly decreased SDS scores compared to city walk and the baseline, and the effect lasted for one week after forest bathing. Forest bathing also significantly increased the concentrations of blood serotonin in participants who were not taking antidepressants, significantly increased the levels of oxytocin and IGF-1 in blood, significantly increased the scores for positive feelings, and reduced the scores for negative emotions compared with city walking in the POMS test. In addition, forest bathing reduced subjective fatigue symptoms and improved sleep quality. Conclusions: These findings provided scientific evidence to contribute to understanding forest bathing as a potential intervention for preventing depression, and future research on males should further explore these effects. Full article

Forest bathing (Shinrin-Yoku in Japanese) is used as an intervention for improving mental health, with VR being used to create virtual forests for relaxation. Background/Objectives: In this research, we added therapeutic intent to a virtual forest with the goal of reducing social anxiety, with and without therapeutic instruction. Methods: Fifty-eight first-year psychology students were randomly assigned to one of three conditions: virtual forest only, therapeutic exercises only, and both combined. Results: All three conditions enhanced restorative effects equally. However, only the therapeutic exercise-only condition showed a tendency to reduce social anxiety. Participants in the combined condition reported more positive experiences and showed better comprehension of therapy content in the virtual forest. Conclusions: While the non-VR approach may offer immediate relaxation and possible anxiety reduction, combining the virtual forest with therapeutic exercises may yield better outcomes for sustained engagement and understanding over multiple therapeutic sessions. Full article

Background: Shinrin-yoku, forest bathing, has been shown to improve the pain experience in arthritis patients and the immune system in normal healthy patients. Yet, a simulated forest immersion therapy (SFIT) experience has not been tested in these two populations and specifically not in cancer patients. If SFIT complementary therapy in these two populations progresses, the intervention environment as designed needs to be tested. The purpose of this paper is to describe the SFIT setting and test the stability of the interventional environment. Methods: To operationalize SFIT, a protocol of dose delivery was designed and measured. Ambient and surface room temperatures, relative humidity, ambient ultrafine particulate matter, and volatile organic compounds, specifically terpenes, were measured prior to terpene dose delivery, every 15 min for 1 h, ending with the conclusion of terpene delivery. Results: There were nearly imperceptible differences within session means for ambient and surface room temperatures, relative humidity, ambient ultrafine particulate matter, and volatile organic compounds showing no practical significance. Room temperature and surface temperature were moderately correlated, as expected. Conclusions: The intervention room environment for the diffusion of terpenes remained stable throughout two studies. The next steps proposal to employ SFIT in the home setting is warranted, with precautions. Full article

Cardiovascular diseases (CVDs) are a group of disorders of the heart and blood vessels and include coronary heart disease, cerebrovascular disease, rheumatic heart disease, and other conditions, which are leading causes of global morbidity and mortality. It is very important to establish preventive measures against CVDs, including hypertension. Against this background, forest bathing/shinrin-yoku is attracting attention as a new method of health promotion and disease prevention. Forest bathing/shinrin-yoku is an activity that utilizes the healing effects of forests to promote people’s health and prevent disease by stimulating the five senses, including sight, smell, hearing, taste, and touch, through forest visits. Since 2004, many scientific studies on the psychological and physiological effects of forest bathing/shinrin-yoku have been conducted, and many original scientific articles have been published. It has been reported that forest bathing/shinrin-yoku boosted immune system by increasing human natural killer activity and anticancer proteins in natural killer, lowered blood pressure and pulse rate, reduced stress hormones including adrenaline, noradrenaline in urine and cortisol in serum and saliva, increased the parasympathetic nervous activity and decreased the sympathetic nervous activity, improved sleep, reduced the negative emotions and increased positive feelings. In this article, the author reviewed the preventive effects of forest bathing/shinrin-yoku on CVDs from the perspectives of the effects of forest bathing/shinrin-yoku on stress hormones, parasympathetic nervous and sympathetic nervous systems, sleep, blood pressure and heart/pulse rate, and other mechanisms based on the published scientific evidence. Full article

Forest frequentation is associated with benefits for human health, warranting the importance of forest-based health practices. These practices can be classified into four categories: connection with nature (e.g., Shinrin-Yoku, yoga, and meditation); sports, outdoor, and adventure activities; Indigenous health practices on the land; and professional consultations in a natural environment. The aim of this research was to better understand the social representations of the forest supporting these practices and the environmental characteristics that are favorable to them, as well as to examine the effects of these practices on the forests. We interviewed 28 forest-based health practitioners in Quebec and conducted four participant observation activities. Data analysis led us to five forest representations: an entity in its own self, an unfamiliar area, a place of attachment, a land at the heart of Indigenous cultures, and a tool to improve health. The results showed that favorable environmental characteristics varied according to the type of health practice. The presence of water (e.g., drinking water, lakes, and rivers) is favorable to all forest-based health practices and access to nature seems to be an issue for many practitioners. We also found that forest-based health practices were leaving traces in the forest and attempting to redefine the place of humans in nature. Full article

The study aims to evaluate the demand for forest bathing in northern Italy’s regions, underlining the willingness to pay and the potential tourists’ habits and flows on attending alpine contexts. Several studies have analyzed the psychophysical benefits of forest bathing, and there is a growing interest in assessing its economic value for tourism purposes. The sample’s answers have been analyzed employing a stratified sampling methodology considering three different macro areas (northwest regions, northeast regions, and the Friuli Venezia Giulia region). After analyzing the sample’s attitudes, the research approached the estimation section by calculating the flow as the number of potential forest bathing hikes per year and the willingness to pay through the contingent valuation method. The main results indicate that forest bathing activity in northern Italy has a considerable monetary value, and it is generally compared with positive feelings, particularly concerning well-being and fascination factors. Full article

Amidst rapid societal changes and increasing urbanization, human connectivity with nature has declined, exacerbating public health concerns. This study assesses the efficacy of Shinrin-yoku, or ‘forest bathing’, in Wuyishan National Park as a simple and effective method to counteract the adverse health effects of contemporary lifestyles. Employing repeated-measures analysis of variance, forty-one participants were observed over three days across eight distinct forest settings. Techniques included eye-tracking for visual attention and soundscape perception assessments via questionnaires. Physiological responses were gauged through heart rate variability and skin conductance, while psychological evaluations utilized the Profile of Mood States (POMS) and Positive and Negative Affect Schedule (PANAS). Findings revealed that (1) natural soundscapes—especially birdsong, flowing water, wind, and bamboo raft sounds—and visual elements, such as distant mountains, streams, trees, Danxia landforms, tea gardens, and bamboo views, play pivotal roles in regulating heart rate variability, reducing arousal, and enhancing stress adaptation. Additionally, cultural landscapes, such as classical music and ancient structures, bolster parasympathetic activity. (2) Natural and cultural auditory stimuli, including flowing water and classical music, coupled with visual features, such as Danxia landforms, streams, distant mountains, lawns, and guide signs, effectively induce positive mood states, regulate mood disturbances, and enhance psychological well-being across diverse forest settings. These findings underscore the significant health benefits of immersive natural experiences and advocate for integrating forest-based wellness programs into public health strategies, offering compelling evidence for enriching life quality through nature engagement. Full article

This scoping review aims to outline key discoveries, gaps in knowledge, and potential future directions in the field of forest therapy research in Europe. Clinical studies investigating the effects of forest therapy sessions in Europe were systematically screened through PubMed, Embase, Cochrane Library, the Directory of Open Access Journals (DOAJ), and Google Scholar (search date: January 2024). This review encompasses 26 selected studies, collectively engaging 2775 participants across various European countries, including Italy, Poland, Spain, Germany, Finland, Hungary, Sweden, Iceland, and Switzerland. These studies predominantly measured psychological outcomes such as mood states, affect, attention levels, subjective wellbeing, and quality of life. Additionally, physiological assessments were conducted, covering vital signs, salivary cortisol, body composition, and blood count. Notably, most of the investigation sites were covered by evergreen forests. Forest therapy practices in Europe demonstrated significant benefits in psychological aspects, including relaxation, mood enhancement, and improved wellbeing, accompanied by physiological improvements, particularly in asthma patients. While a fair-to-good methodological quality was identified in randomized controlled trials, the acknowledged weaknesses point towards a need for more rigorous and standardized research approaches. In conclusion, this comprehensive scoping review provides valuable insights into the current landscape of forest therapy research in Europe, highlighting its potential to positively impact both physical and mental wellbeing. The findings underscore the need for further research addressing methodological limitations and exploring gaps in understanding, thereby contributing to the continued advancement of forest therapy as a holistic wellbeing intervention within the European context. Full article

In the mid-1980s, forest bathing was established in Japan to improve citizens’ physical and mental health. In the literature, many studies have investigated the role of forest bathing in decreasing people’s stress and anxiety as well as in reducing hypertension and coronary artery disease. Forest bathing is also a practice with important social and economic implications at a local level. This study investigated the economic value of forest bathing in a case study in northern Italy (i.e., the Parco del Respiro, in Trentino-Alto Adige) using the Zonal Travel Cost Method. To achieve this aim, 243 forest bathers in the study area were interviewed in the summer of 2022. The findings highlighted that an actively managed forest with an average–low amount of deadwood and clean open areas is the scenario preferred by participants. In addition, the results of the Zonal Travel Cost Method showed a relevant annual consumer surplus of EUR 8700 for the forest bathing activity in the study area, corresponding to EUR 35.80 per visit per person. Full article

Since a single forest walk (Shinrin-yoku or forest bathing) session is reported to improve sleep temporarily, occasional forest walks may have a positive effect on daily sleep. Therefore, this study aimed to examine whether more frequent forest walking is associated with better daily sleep conditions. Data from the second survey of the Japan Multi-Institutional Collaborative Cohort (J-MICC) Daiko Study conducted among residents of Nagoya City, Japan, were used. The study design was a cross-sectional study. In total, 2044 participants (529 men and 1515 women; age, mean ± standard deviation: 58.8 ± 9.9 years) were included in the analysis. Frequent forest walks were associated with a low percentage of insomnia symptoms (Insomnia Severity Index ≥10) in women, but not in men. The adjusted odds ratio for the group that rarely took forest walks with reference to the group that engaged in the activity once a month or more often was 2.04 (95% confidence interval: 1.29–3.23) in women. Forest walk frequency was not significantly associated with sleep duration or sleep efficiency as measured by actigraphy in either men or women. In conclusion, the results suggested that increasing the frequency of forest walks or Shinrin-yoku may be effective in preventing insomnia in women. Full article

Research is increasingly focusing on the health-promoting effects of forest healing programs. A number of different health indicators are in use, necessitating the establishment of standardized health measurement tools and protocols for forest healing. Also, it is necessary to improve the indicators and protocols by incorporating the opinions of program participants and instructors, so we conducted a qualitative analysis based on focus group interviews (FGIs) and in-depth interviews (IDIs). We collected opinions through interviews conducted for about 1 h with 32 participants in the pilot study and three instructors of the forest healing program. We utilized the MAXQDA program, commonly employed for qualitative research, such as coding and analyzing interview transcripts and literature reviews, as part of the qualitative research process. Three researchers coded and categorized the data, and the first author and corresponding author performed the final coding and categorization. Opinions on the five mental health questionnaires, three physical health measures, and exercise behavior measures used in the forest healing program were solicited. Opinions on the measurement protocol were also solicited. Participants faced challenges in completing the mental health questionnaire due to inappropriate terminology, difficulty in providing truthful responses due to repetitive questions, and the complexity of answering exercise-type questions due to the length of the survey and the absence of clear examples. It was identified that improvements are needed in the future. Some participants commented on the need to measure blood circulation and short-term health changes, and others noted that performing measurements in large groups was difficult, such that there was a need to introduce a measurement protocol for groups. This study is the first to qualitatively evaluate the validity of health measurement tools associated with forest therapy programs. It can contribute to the establishment of standardized health indicators and protocols, as well as serve as a valuable reference for selecting measurement tools to evaluate the effectiveness of forest healing interventions. Full article